Review Article

Implication of Fructans in Health: Immunomodulatory and Antioxidant Mechanisms

Table 2

Effect of fructans on the immune function in healthy animal and human models.

Effects of fructansDose fructan/durationModelReference

DC and T cells in lamina propria of the caecum and PGE2 in small intestine, colon, and caecum3% FOS for 12 daysMice treated with antibiotics and conventionalized with Clostridium  difficile [118]

In peripheral blood: ↑ CD4+/CD8+ ratio and ↓ B cells. In GALT: proportion of CD4+ cells and CD8+ cells, PP, and lamina propria cells and CD4+/CD8+ ratio in lamina propria0.87% FOS for 14 daysAdult dogs[119]

Synbiotics whole blood phagocyte activation level.1% FOS for 28 daysPiglets infected with S.  typhimurium [120]

counts of leucocytes, lymphocytes, neutrophils, CD2+ T cells, CD4+ T cells, CD8+ T cells, B cells, and macrophages in blood, % phagocytic activity of leucocytes and neutrophils in blood.3 g/d OF for 20 daysNewborn piglets[121]

ileal IgA concentration.2 g/d FOS and/or MOS for 14 daysAdult dogs[122]

blood neutrophils and blood lymphocytes.2 g FOS plus/1 g MOS for 14 daysAdult dogs[123]

rotavirus-specific IgA levels in serum and duration of a strong rotavirus-specific IgA response in faeces and % IgA and IgG positive B cell in the PP. serum rotavirus-specific IgG and Rhesus rotavirus antigen concentration in stools.1.25 g/L OF for 7 weeksMice (pups) infected with Rhesus rotavirus[124]

No change in protein, alb, serum Ig, secreting IgA, and IL-4 and IFN- secretion, antibodies against influenza B and pneumococcus.6 g OF/ITFs for 28 weeksHealthy elderly (>70 years)[125]

% CD4 and CD8 lymphocytes, phagocytic activity in granulocytes and monocytes and IL-6 mRNA expression in PBMCs. 8 g/day FOS, 3 weeksNursing home elderly (77–97 years)[126]

total faecal IgA, size of PP, total IgA secretion by PP cells and IL-10 and IFN- production from PP CD4+ T cells.0–7.5% FOS for 6 weeksFemale mice[127]

leucocyte counts, NK activity of splenocytes and peritoneal macrophage phagocytosis of Listeria  monocytogenes.2.5–10% FOS or OF for 6 weeksFemale mice[128]

total number of immune cells in PP, B lymphocytes in PP and T lymphocytes and CD4+/CD8+ ratio in PP in endotoxemic mice only.10% FOS for 16 daysFemale mice healthy or endotoxemic[129]

peripheral blood lymphocyte concentration.1% ITFs/MOS for 4 weeksSenior dogs[130]

total intestinal IgA, ileal and colonic polymeric Ig receptor expression, ileal IgA secretion rate, IgA response of PP cells, and % of B220+ IgA+ cells.5% FOS for 23–44 daysNewborn mice[131]

IL-10 and IFN- production in PP, secretory IgA concentration in ileum and caecum.10% FOS-enriched ITFs for 4 weeksMale rats[132]

NK activity. Prevention of the decrease in proportion of T cells with NK activity.6 g/d OF and ITFs (2 : 1 ratio) for 1 yearElderly free-living adults (age ≤ 70 years)[133]

Improved response to some vaccine components and increased lymphocyte proliferation to influenza vaccine components.4.95% FOS for 183 daysHealthy adults (age ≤ 65 years)[134]

T cells, MHCII on antigen-presenting cells in spleen, MLN, and thymus, IL-2 and IL-4 in blood.10% FOS/ITFs for 4 monthsMale rats[135]

Trend towards higher fecal sIgA.0.6 g (GOS/FOS)/100 mL formula for 32 weeksNewborn non-breast-fed infants[136]

Improved response to B cells, memory cytotoxic T cells, influenza-activated lymphocytes (CD69 and CD25) and IL-6 and IL10.4.95% FOS for 4 weeksHealthy adults (age ≤ 65 years)[137]

In pregnant females and pups no effect on serum IgG1, IgG2, IgA, or IgM. In colostrum and milk IgM.0.1% OF during lactationPregnant female dogs and pups[138]

severity of enterocyte sloughing.1% FOS or ITFs for 14 daysPuppies[139]

% CD19 (B) cells, CD3+ HLA-DR+ (activated T cells) and % ICAM−1 bearing lymphocytes and % CD3+ NK+ cells.9 g/d ITFs for 5 weeksAdults smokers and nonsmokers[140]

vaccine-specific faecal IgA and plasma IgG levels, peritoneal macrophage activity, mean fluorescence intensity of MHCII+ cells in spleen, IL-12 and IFN- production by splenocytes, and survival from Salmonella infection when given vaccine.5% mix (ITFs, FOS, and OF) for 1 weekFemale mice[141]

fecal sIgA.6 g/L GOS/FOS (9 : 1) for 26 weeksNewborn healthy infants[142]

NK activity, and IL-10, IL-6, IL-1, and TNF-.5.5 g GOS/d for 10 weeksElderly (64–79 years)[143]

DCs in PP, IL-2, IL-10, and IFN- from spleen and MNL cells. number and proportion of T cell receptor (TCR-) +CD8+ cells in spleen and CD45RA+ cells in MLN.5% ITFs for 4 weeksFemale rats[113]

total IgE, IgG1, IgG2, and IgG3; cow’s milk protein-specific IgG1. 8 g/L GOS/FOS for 6 monthsNewborn infants at risk for allergy[144]

intestinal sIgA.2.51–0.42 g/kg/d mix of GOS, XOS, OF, and ITFs (3.6 : 1 : 0.4 : 5) for 12 daysFemale rats induced with diphenoxylate[145]

IL-1 in macrophage cultures and fecal IgA.3–5% FOS for 30 daysFemale mice[146]

LPS in blood and LPS-induced increases in gene expression in IL-1 and LPS-induced decreases in gene expression in IL-13 in blood.5 g XOS, ITFs–XOS (3 : 1) for 4 weeksHealthy volunteers[147]

serum cortisol, TNF- and IL-6 after a LPS injection.0.10% levan-type fructan for 42 daysGrowing pigs[63]

fecal secretory IgA and fecal calprotectin and plasma C-reactive protein.5.5 g/d B-GOS (Bi2muno) for 12 weeksOverweight adults[148]

TGF- secretion by splenocytes and IFN- production and IL-5.GOS/ITFs (dose and duration data not shown)Healthy mice[149]

CD16/56 on natural killer T cells and IL-10 secretion, XOS and Bi-07 supplementation CD19 on B cells.8 g XOS or with 109 CFU Bi-07/d for 21 daysHealthy adults (25–65 years)[150]

cell-mediated immunity in terms of skin indurations and CD4+ T-lymphocyte population.20–60 g/kg FOS/ITFs for 12 weeksHealthy rats[151]

FOS: fructooligosaccharides; PGE2: prostaglandin E2; GALT: gut-associated lymphocyte tissue; CD: cluster of differentiation; PP: Peyer’s patch; OF: oligofructose; MOS: mannanoligosaccharides; IgA: immunoglobulin A; IgG; immunoglobulin G; ITFs: inulin-type fructan; IL: interleukin; PMBCs: peripheral blood mononuclear cells; NK: natural killer cells; MHC II: major histocompatibility complex II; GOS: galactooligosaccharides; HLA: human leukocyte antigen; ICAM-1: intercellular adhesion molecule 1; IFN-γ: interferon gamma; DC: dendritic cell; TCR: T cell receptor; MLN: mesenteric lymph nodes; XO: xylooligosaccharides; LPS: lipopolysaccharides.